Active NPI
Lynne J Goebel, MD
- Internal Medicine Physician
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17408
- Practice address
- 1249 15TH St
Suite 2000
Huntington, WV 25701-3662 - Phone
- (304) 691-1000
- Fax
- (304) 691-1693
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17408 | WV | Primary |
Addresses
Primary practice location
1249 15TH St
Suite 2000
Huntington, WV 25701-3662
Mailing address
1249 15TH St
Suite 2000
Huntington, WV 25701-3662
Phone (304) 691-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64278815 | Medicaid | KY | |
| 0076115000 | Medicaid | WV | |
| 0930514 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lynne.goebel@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17408 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc. | Current | Accepting new patients | |
| University Physicians & Surgeons, Inc | Internal Medicine | Current | Accepting new patients |
Locations
1600 Medical Center Dr
Ste G500
Huntington, WV 25701
Phone (304) 691-1262
1249 15th St
Ste 2000
Huntington, WV 25701
Phone (304) 691-1086
1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850
1249 15th St
#4093
Huntington, WV 25701
1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300
Interoperability endpoints
- lynne.goebel@marshall.cernerdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1730183286
-
- Health & Wellness Coach
- Louisa, KY
- NPI 1073256665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1407811706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 15TH ST",
"address_2": "SUITE 2000",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013662",
"telephone_number": "304-691-1000",
"fax_number": "304-691-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 15TH ST",
"address_2": "SUITE 2000",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013662",
"telephone_number": "304-691-1000",
"fax_number": "304-691-1693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEBEL",
"first_name": "LYNNE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "17408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64278815",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076115000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0930514",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lynne.goebel@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1249 15th St",
"address_2": "Suite 2000",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257013662",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.